Peter J Apel1,2, Julie A Zielinski1,2, Douglas J Grider3, Ralph D Brown4, Noah J Orfield1. 1. Department of Orthopaedics, Carilion Clinic, Roanoke, Virginia. 2. Virginia Tech Carilion School of Medicine, Roanoke, Virginia. 3. Department of Pathology, Carilion Clinic, Roanoke, Virginia. 4. Department of Physical Medicine and Rehabilitation, Carilion Clinic, Roanoke, Virginia.
Abstract
CASE: A 14-year-old female presented with a profound foot drop after trauma to the right leg. Clinical examination and electrodiagnostic studies demonstrated a dense palsy of the common peroneal nerve. Magnetic resonance imaging revealed an intraneural peroneal ganglion cyst at the fibular neck. Surgical treatment included decompression and transection of the articular branch to the proximal tibiofibular joint. At the 1-year follow-up, the patient demonstrated complete recovery of peroneal nerve function. CONCLUSIONS: This case demonstrates a rare finding of a pediatric intraneural peroneal ganglion cyst. The presentation and treatment is well-documented and adds depth to the literature on a sparsely reported condition.
CASE: A 14-year-old female presented with a profound foot drop after trauma to the right leg. Clinical examination and electrodiagnostic studies demonstrated a dense palsy of the common peroneal nerve. Magnetic resonance imaging revealed an intraneural peroneal ganglion cyst at the fibular neck. Surgical treatment included decompression and transection of the articular branch to the proximal tibiofibular joint. At the 1-year follow-up, the patient demonstrated complete recovery of peroneal nerve function. CONCLUSIONS: This case demonstrates a rare finding of a pediatric intraneural peroneal ganglion cyst. The presentation and treatment is well-documented and adds depth to the literature on a sparsely reported condition.